Claim total
$504.69
base $93.39 · payer covered $454.69
The visit
- Class
- Ambulatory
- Code
- 185347001
- Reason
- Allergic disposition609328004
- Start
- 1989-11-26
- Stop
- 1989-11-26
The parties
- Patient
- patient Marion Angelo Bogisich
- Provider
- provider Booker Armstrong
- Care site
- care site NORTH MEMORIAL HEALTH CARE
- Payer
- payer Medicaid
Record id
0b1b278b-2e00-e569-9fce-43fc486877bc